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27-58-4
Section 27-58-4 Benefits subject to annual deductible, coinsurance, exclusions, reductions,
etc. (a) The benefits provided in this chapter shall be subject to the same annual deductible
or coinsurance established for all covered benefits within a given policy. Private third party
payors may not reduce or eliminate coverage due to the requirements of this chapter. (b) A
health benefit plan subject to this chapter shall not terminate services, reduce capitation
payment, or otherwise penalize an attending physician or health care provider who orders medical
care consistent with this chapter. (c) Nothing in this chapter is intended to expand the list
of designations of covered providers as specified in any health benefit plan. (Act 2007-389,
p. 778, §4.)...
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27-59-3
Section 27-59-3 Implementation of coverage. (a) The benefits provided in this chapter shall
be subject to the same annual deductible or co-insurance established for all covered benefits
within a given policy. Private third party payors may not reduce or eliminate coverage due
to the requirements of this chapter. (b) A health benefit plan subject to this chapter may
not terminate services, reduce capitation payment, or otherwise penalize an attending physician
or health care provider who orders medical care consistent with this chapter. (c) Nothing
in this chapter is intended to expand the list of designations of covered providers as specified
in any health benefit plan. (Act 2008-502, p. 1106, §3.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-59-3.htm - 1K - Match Info - Similar pages
22-11B-1
Section 22-11B-1 Health care providers upon request required to give immunization status of
patients. (a) Notwithstanding any of the confidentiality provisions in Chapter 11A of this
title, or any other provisions of law, every public and private health care provider shall,
upon request of the persons or entities herein identified, provide information concerning
the immunization status of any patient in accordance with rules promulgated by the State Board
of Health to the following persons and entities: (1) Other public and private health care
providers. (2) Health care insurers of all descriptions. (3) The Alabama Medicaid Agency.
(4) Individuals and organizations with a need to verify the immunization status of persons
in their care, custody, or enrollment, including but not limited to, the chief executive officer,
or a designee of the officer, of a public or private day care center, school, or postsecondary
educational institution. (b) The authorization granted pursuant to this...
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22-21-354
Section 22-21-354 Further provisions respecting use and disposition of certain property. In
determining the financial effect of an arrangement between an authority and any nonhospital-based
physician, dentist or other health care professional for the furnishing of office space to
any such person for use in his private practice (for purposes of those provisions of the enabling
statute relating thereto), the board: (1) May, in the determination of the rental and other
consideration to be received by the authority from the furnishing of such office space, consider
not only the dollar amount of such rental and other consideration being or to be paid by such
person pursuant to such arrangement, but also such other circumstances or conditions as it
shall generally describe in an authorizing resolution, including (without limitation and by
way of example or illustration) factors such as the probability or possibility that such person
will refer patients or others to any one or more of the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-354.htm - 2K - Match Info - Similar pages
22-6-11
Section 22-6-11 Breast and cervical cancer prevention and treatment. (a) This section shall
be known and may be cited as the "2009 Breast and Cervical Cancer Prevention and Treatment
Act." (b)(1) Medicaid eligibility and coverage shall be extended to a woman who has been
determined to be eligible to participate in and has been screened for breast or cervical cancer
by any health care provider or entity, or both, that satisfies any of the following: a. Receives
direct payment for screening services by National Breast and Cervical Cancer Early Detection
Program (NBCCEDP) Title XV funds. b. Is funded at least in part by NBCCEDP grantee Title XV
funds for screening services. c. Is not funded at all by NBCCEDP grantee Title XV funds but
has been identified by the Department of Public Health as part of the Alabama Breast and Cervical
Cancer Early Detection Program and operates consistently within its guidelines. (2) Coverage
under this section shall be limited to any woman screened and...
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27-21A-25
Section 27-21A-25 Confidentiality of medical information. Any data or information pertaining
to the diagnosis, treatment, or health of any enrollee or applicant obtained from such person
or from any provider by any health maintenance organization shall be held in confidence and
shall not be disclosed to any person except to the extent that it may be necessary to carry
out the purposes of this chapter; or upon the express consent of the enrollee or applicant;
or pursuant to statute or court order for the production of evidence or the discovery thereof;
or in the event of claim or litigation between such person and the health maintenance organization
wherein such data or information is pertinent. A health maintenance organization shall be
entitled to claim any statutory privileges against such disclosure which the provider who
furnished such information to the health maintenance organization is entitled to claim. (Acts
1986, No. 86-471, p. 854, §25.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-21A-25.htm - 1K - Match Info - Similar pages
27-54-4
Section 27-54-4 Illnesses covered; requirements of benefit plans, etc. (a) All group health
benefit plans shall offer to provide, at a minimum, additional benefits according to this
chapter for a person receiving medical treatment for any of the following mental illnesses
diagnosed by an appropriately licensed provider. (1) Schizophrenia, schizophrenia form disorder,
schizo affective disorder. (2) Bipolar disorder. (3) Panic disorder. (4) Obsessive-compulsive
disorder. (5) Major depressive disorder. (6) Anxiety disorders. (7) Mood disorders. (8) Any
condition or disorder involving mental illness, excluding alcohol and substance abuse, that
falls under any of the diagnostic categories listed in the mental disorders section of the
International Classification of Disease, as periodically revised. (b) All group health benefit
plans, policies, contracts, and certificates executed, delivered, issued for delivery, continue,
or renewed in this state on or after January 1, 2001, shall offer, at...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-54-4.htm - 3K - Match Info - Similar pages
22-50-90
Section 22-50-90 Definitions. (a) When used in this article, the following words and terms
shall have the following meanings: (1) CRIMINAL HISTORY BACKGROUND INFORMATION. Any information
collected and stored in the criminal record repository of the Federal Bureau of Investigation
(FBI) reflecting the result of an arrest, detention, or initiation of a criminal proceeding
by criminal justice agencies, including, but not limited to, arrest record information, fingerprint
cards, correctional induction and release information, identifiable descriptions, and notations
of arrests, detention, indictments, or other formal charges. The term shall not include analytical
records or investigative reports that contain criminal intelligence information or criminal
investigation information. (2) DIRECT CARE PROVIDER. A psychiatrist, medical doctor, psychologist,
social worker, community service specialist, therapist, nurse, mental health worker, foster
care provider, police officer, and any other...
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22-5A-2
Section 22-5A-2 Definitions. For the purposes of this chapter, the following words shall have
the meanings ascribed to them by this section: (1) ADMINISTRATOR. Any person charged with
the general administration or supervision of a health care, domiciliary or residential facility
without regard to whether such person has an ownership interest in such facility or to whether
such person's functions and duties are shared with one or more other persons. (2) COMMUNITY
OMBUDSMAN. A person selected by an area agency on aging who is then trained and certified
as such by the commission pursuant to Section 22-5A-4. (3) DEPARTMENT. Department of Senior
Services. (4) HEALTH CARE FACILITY. Any skilled nursing facility, intermediate care facility,
domiciliary, boarding home facility or hospital now or hereafter subject to regulation or
licensure by the Bureau of Licensure and Certification of the State Department of Health or
a county department of health which provides any generally accepted facet...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5A-2.htm - 2K - Match Info - Similar pages
22-5A-4
Section 22-5A-4 Selection of community ombudsmen; training; certification; duties; area plan
to describe program; notification of department as to prospective ombudsmen; advisory committee
on program. (a) Each area agency on aging funded by the department shall select at least one
community ombudsman in each planning and service area established according to regulations
issued pursuant to the Older Americans Act of 1965, as amended. The community ombudsman shall
be an employee or contractual employee of the area agency on aging and shall certify to having
no association with any health care facility or provider for reward or profit. (b) The duties
of each community ombudsman shall be as follows: (1) To receive, investigate, respond to,
and attempt informally to resolve complaints made by or on behalf of recipients; (2) To report
immediately instances of fraud, abuse, neglect, or exploitation to the department of pensions
and security for investigation and follow-up pursuant to Chapter...
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